Tuberculosis infection in BCG vaccinated and non-vaccinated children.

5. Davis RL, Waller PL, Mueller BA, Dykewicz CA, Schonberger LB. Kawasaki syndrome in Washington State: Race-specific incidence rates and residential proximity to water. Arch Pediatr Adolesc Med 1995; 149: 66-69. fever prior to referral were 8 and 6.5 days respectively in the two time frames. Unilateral cervical lymphadenopathy was seen in 92%; nonpurulent conjunctivitis and skin rash in 88%; oral mucosal changes in 85%. Of the 81% with desquamation, 71% developed periungual and perianal desquamation within 10 days of illness, similar to reported observations(1). Arthralgia was present in 42%. Cardiac complications were seen in 23% which included coronary artery dilatation in 3, coronary artery aneurysm in 2 all of which regressed in the follow-up, and congestive cardiac failure in 1 with unresolved mitral and tricuspid regurgitation in the five year follow-up. Elevated ESR and positive CRP were observed in 96% and 88% respectively. Thrombocytosis was seen within 10 days in 73%. Intravenous immunoglobulin given to 73% of children was well tolerated with one requiring two doses of 2 g/kg. All received high dose aspirin during the acute phase followed by low dose of 3-5 mg/kg/day for six weeks. There was no mortality.